It was the ethical questions that were new. Is GH not a wise use of finite healthcare resources, or is the physician’s primary responsibility to the patient? If GH is given to most extremely short children to make them taller, will the definition of “extremely short” simply rise, negating the expected social benefit? If GH is given to short children whose parents can afford it, will shortness become a permanent mark of lower social origins? More of these issues are outlined in the ethics section. Whole meetings were devoted to these questions; pediatric endocrinology had become a specialty with its own bioethics issues.
I had VERY same issue with my thyroid meds. I tried them all. Turns out one of my primary triggers for my mast cell is anything in the CANE family so mostly sugar and any cane sugar derivative and also coconut. Both cause anaphylactic symptoms to me. But I don’t have a true IgE allergy to them. It’s a trigger for my MCAD. Well once I figured this out I realized all thyroid pills have confectioners sugar (my trigger). Tirosint contakns glycerin which when I called the manufacturer they informed me that it was derived from coconut. So my doc had to prescribe a compound thyroid medicine which I take a t4/t3 combo. I have been able to successfully take it without incident for 2 solid months now. Yay. I would discuss compounded thyroid meds with your doc to remove any and all fillers. You have the option for compounded synthetic or natural porcine. My pharmacy Stokes in NJ will also ship if you don’t have a compound pharmacy near by. It is literally my life saver.
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